The Montlake Cut A Publication of the Department of Neurological Surgery, UW Medicine Health Care System January 2013 Chairman’s Message… The View from Puget Sound ... Welcome to the latest issue of ‘The Montlake Cut’. In this issue we reflect on 2012 as a year of both transition and accom- Richard G. Ellenbogen, M.D., F.A.C.S. plishment. With great regret we mark the passing of two of our Department’s closest friends and long-time colleagues; Professor Robert Goodkin, and Clinical Professor John Maxwell. We are pleased to introduce two major research publications describing leading edge results: Dr. Randy Chesnut’s randomized control trial of ICP Monitoring in Traumatic Brain Injury conducted in Latin America with several of our faculty and reported in the New England Journal of Medicine, and Dr. Raimondo D’Ambrosio’s study reported in the Annals of Neurology that concludes Mild Brain Cooling after Injury Prevents Epileptic Seizures. We wel- come 2013 with Dr. Louis Kim’s new role as Chief of Service for Neurological Surgery at Harborview Medical Center. Please enjoy this edition and remember, as always, we welcome your feedback and insights. Sincerely, Richard G. Ellenbogen, MD, FACS Professor & Chairman, Department of Neurological Surgery IN THIS ISSUE: DR. ROBERT GOODKIN IN MEMIORIAM ------------------ 2-3 ICP MONITORING IN LATIN AMERICA----------------------8-9 DR. JOHN A. MAXWELL IN MEMORIAM ------------------- 4 BRAIN COOLING PREVENTS SEIZURES --------------------- 10 FACULTY RUNS MARATHON--------------------------------- 5 DR. GREELY DEVELOPS SPOKANE DBS PROGRAM ------ 11 WELCOME NEW RESIDENCY COORDINATOR -------------- 6 VISITING SCHOLARS------------------------------------------ 12 GRANT FUNDING ON THE RISE----------------------------- 6 INTERVIEW WITH DR. HARLEY DA SILVA----------------- 13 ICP MONITORING IN TBI------------------------------------- 7 In Memory of Robert Goodkin, MD 1939-2012 We sadly mark the passage of our beloved and esteemed colleague and friend Robert Goodkin, Professor Emeritus of Neurological Surgery. Robert performed his undergraduate work at the College of William and Mary and New York University, then received his MD degree from the Chicago Medical School. A straight surgical internship at Bellevue Hospital Center and a Neurosurgery Residency at New York University Medical Center followed. He was animated when he referred to his training at Bellevue under the watchful eye of his mentor, the world famous and “rough and tumble” neurosurgeon, Dr. Joseph Ransohoff. Prior to joining our faculty in 1987, he was on the neurological surgery faculty of several prestigious institutions including the Barrow Neurological Institute Residency Training Program, the University of Florida, the Univer- sity of Miami School of Medicine, and the USC School of Medicine. Bob carried a significant administrative load, both within our institution and in the greater community of neurosurgeons. At the UW he served twice on the Faculty Senate, including an elected term on the Executive Committee, and had multiple years of service with the Faculty Council on Student Affairs, and the Robert Goodkin, M.D. Professor Emeritus Faculty Appeal Board and Adjudication Panel. At the VA Puget Department of Neurological Surgery 1939-2012 Sound Health Care System, he was an active member of the Ethics Committee, on the OR Executive Council Committee (Chairman), the Pastoral Committee, and the QI Credentialing and Privileging Committee. Nationally, Bob was active in supporting the work of Neurological Surgery professional societies. He served on the Bylaws Committee and Professional Liability Committee of the AANS. As part of the Neurosurgery Consultants Committee of the Surgical Service, Veterans Affairs Headquarters, he was Chairman of the AANS Surgical Liaison Committee and Representative to the VA Central Office in Wash‐ ington D.C. He also served as a Delegate to the Word Federation of Neurological Surgeons from the Neu‐ rosurgical Society of America where he had been involved in many leadership roles. Dr. Goodkin was President of the Neurosurgery Society of America from 1997‐98. He contributed to the growth and development of our field in various other ways. Bob authored dozens of book chapters and articles in peer-reviewed journals. He made a major contribution in the analysis of intra- operative complications and resultant litigation. He contributed to our understanding of MRI changes in dam- aged peripheral nerves and muscle, and developed a research program in the surgical management of Move- ment Disorders. (Continued on next page) 2 (Continued from previous page) One of his signal accomplishments and a significant point of pride was the instrumental role he played in starting a new neurosurgery journal, Surgical Neurology International, an open access, Internet-only journal that rapidly publishes the latest developments in the field. Importantly, its papers can be downloaded free by anyone. He saw this as critical to advancing neurosurgical education on a global basis and believed the journal had the potential to grow internationally into one of the highest circulation resources in our field. Dr. Goodkin was a superb teacher who lastingly contributed to the education of our residents, fellows and medical students on elective rotations. He was consistently ranked as one of the best in our Department. Bob was dedicated to his family, synagogue and profession. He and his wife Sandy married in his second year of medical school and raised a wonderful family. Sandy and Bob had recently celebrated their 55th wedding anniversary. A couple more dedi‐ cated to each other would be hard to find. Sandy was the love of his life and his two boys were the object of his pride. He was mod‐ est but a spark came to his eye when he talked about the very ac‐ complished Jared (attorney) or Howard.(Academic Pediatric Epi‐ leptologist) One of his finest tributes came in 2011 with the es‐ Sandy & Bob Goodkin tablishment of the Department of Neurological Surgery Robert Wedding photo. Goodkin Endowed Lectureship. This was especially meaningful as the inaugural lecture “Etat de mal” was given by his son Howard P. Goodkin. MD. PhD, an Associate Pro‐ fessor in the Department of Neurology at the University of Virginia. Bob Goodkin was a man of great integrity. He was a model spouse, father, and mentor. He was incor- ruptible, bright, honest, outspoken, dedicated, and forever a great friend and supporter to those worthy of his impeccable honor. He will be sorely missed by us and remembered in perpetuity by our department.” Rich Ellenbogen and Rick Rapport Excerpt from Eulogy by Rich Ellenbogen: If you have integrity nothing else matters! If you do not have integrity nothing else matters! Apologies to Senator Alan Simpson, WY 3 In Memory of John Maxwell, M.D. 1933-2012 John Alan Maxwell was born June 24, 1933 in Lima, Ohio. He spent his childhood in Kansas, and in 1951 went to Harvard College on a scholastic scholarship. He graduated Cum Laude with a degree in chemis- try in 1955. Almost immediately, he entered the U.S. Navy as a line officer and served in the Pacific Command. In 1957, he returned to Cambridge to attend medical school and graduated in 1961. John did his residency at the University of Michigan under the direction of Professors Edgar Kahn and Richard Schneider. He finished in 1967, and was always fond of telling the story of getting ready to leave Ann Arbor just as his car suffered irreversible me- chanical failure. When he told Eddie Kahn about it, and when cars were cheaper and times were different, his professor bought him a new one so he could get to Kansas City. Once back in the Midwest, John became an Instructor in Neurosurgery at the University of Kansas with Charlie Brackett. His research interests centered on lung and fluid balance complications of head injury. He quickly advanced to assistant and then associate professor by 1973. Dr. Maxwell relaxed at Epidaurus, Greece in the amphitheater, waiting In 1975 Dr. Maxwell, his wife Margaret, and their sons, for the games to begin. John, Chris, and Fred moved to Medina when he entered the private practice of neurosurgery at Overlake and Evergreen Hospitals. He brought considerable intellect and surgical skill in clinical neurosurgery to the Eastside, and also had privileges at Virginia Mason and Children’s Hospi- tal. John quickly established himself as a gifted physician and trusted colleague. After he retired, he filled in at Group Health for a while, and was just as much valued there. Dr. Maxwell derived enormous pleasure from his association with the neurosurgery program at UW. He began to come to Grand Rounds and conferences during the time Arthur Ward was chairman. In 1980 John was appointed Associate Clinical Professor and in 2004 Clinical Professor of Neurosurgery. Former residents and faculty will fondly remember his dedication to the Neurosurgery Service at the Veteran’s Hospital where he attended with the residents in clinic for several years. Five years ago Dr. Maxwell developed the first symptoms of what proved to be ALS. Throughout that illness he retained a good humor and joy of what he had left. He died of this relentless disease on November 18, 2012. John Maxwell loved his family, his profession, and his very productive and rich life. He will be long remembered by grateful patients, colleagues, and his many friends. 4 Louis J. Kim, M.D. Appointed In an administrative move to consolidate the management of neuro- surgical patients, Chairman Richard G. Ellenbogen nominated Dr. Louis Kim to be the new Chief of Service at Harborview. This appointment was ratified as of December 14, 2012. In addition to his more than fulltime clinical practice on the neurovascular service at HMC, endovascular and teaching responsibilities, Dr. Kim will now help to lead the reorganization of the always busy neurosurgical service at the only Level One trauma cen- ter in the WWAMI Region. Dr. Kim received his MD in 1999 from the Columbia University Louis J.